Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,220.23 / $13,552.02	Facility		$100.00	$2,220.23	$13,552.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.76 / $695.39 / $1,006.60	Professional		$544.76	$695.39	$1,006.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $592.12 / $828.97 / $1,404.51	Professional		$592.12	$828.97	$1,404.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.10 / $3,669.21 / $6,000.00	Facility		$3,302.10	$3,669.21	$6,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.74 / $1,007.85 / $1,502.30	Professional		$587.74	$1,007.85	$1,502.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $2,000.36 / $2,070.38	Facility		$675.90	$2,000.36	$2,070.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $67.26	Facility	AS	$67.26	$67.26	$67.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.14 / $1,148.26 / $1,807.75	Professional		$796.14	$1,148.26	$1,807.75
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $672.84 / $1,103.85 / $2,076.71	Professional		$672.84	$1,103.85	$2,076.71
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.96 / $957.97 / $2,144.34	Professional		$748.96	$957.97	$2,144.34
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $496.82 / $596.17 / $940.98	Professional		$496.82	$596.17	$940.98